Individual provider Active NPI

Jeremy Seth Nehleber, D.M.D

  • Periodontics
  • New York, NY
National Provider Identifier
1447506100
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
055386 Issued in NY
Practice address
531 E 20TH St Apt 9F
New York, NY 10010-7610
Phone
(352) 219-7337
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 055386 NY Primary
Periodontics 1223P0300X DN18331 FL

Addresses

Primary practice location

531 E 20TH St Apt 9F
New York, NY 10010-7610

Mailing address

531 E 20TH St Apt 9F
New York, NY 10010-7610
Phone (352) 219-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18331FLMDPeriodontist
055386NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1447506100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E 20TH ST APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107610",
            "telephone_number": "352-219-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E 20TH ST APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107610",
            "telephone_number": "352-219-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHLEBER",
        "first_name": "JEREMY",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "055386",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN18331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.